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CVS Health

Case Manager, Registered Nurse

CVS Health

. Conduct comprehensive telephonic assessments and develop individualized care plans .

Posted 10/6/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $54,095 - $142,576 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in telephonic case management, including conducting assessments, developing care plans, and coordinating resources for members with complex healthcare needs. Holds an active RN license and possesses significant clinical experience, with a focus on compliance and collaboration within multidisciplinary teams.

Highest-signal resume keywords
Active RN LicenseClinical RN ExperienceCase Management CertificationTelephonic Case ManagementCare Coordination

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Telephonic AssessmentsIndividualized Care PlansHealth Risk IdentificationClinical JudgmentCare Coordination
Soft Skills
CollaborationCommunicationProblem-Solving
Certifications & Qualifications
Case Management CertificationCompact RN License
Industry Keywords
Regulatory ComplianceMember WellnessComplex Healthcare NeedsUtilization ManagementMultidisciplinary Teams

About the role

Key responsibilities & impact
  • Conduct comprehensive telephonic assessments and develop individualized care plans
  • Identify health risks, barriers, and opportunities to improve member wellness
  • Coordinate care, referrals, and transitions to appropriate clinical programs and resources
  • Apply clinical judgment to support members with complex and co-morbid conditions
  • Collaborate with multidisciplinary teams to achieve optimal member outcomes
  • Maintain compliance with regulatory requirements and company policies
  • Provide telephonic case management support for members with complex healthcare needs
  • Help members navigate resources, improve health outcomes, and overcome barriers to care

Requirements

What you’ll need
  • Active, unrestricted RN license in state of residence
  • Willingness to obtain a Compact RN license (company-paid)
  • Minimum 5 years of clinical RN experience
  • Associate Degree in Nursing (ADN)
  • Ability to work within Monday–Friday business hours
  • 6+ months of Case Management or Utilization Management experience (preferred)
  • Case Management Certification (CCM or equivalent) (preferred)
  • BSN (preferred)

Benefits

Comp & perks
  • Company-paid Compact RN license
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being
  • CVS Health bonus, commission or short-term incentive program eligibility